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Organization
MICHEL LIRETTE MD LLC
Active
Organization
MICHEL LIRETTE MD LLC
Active
Other names
Michel Lirette MD PC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA MARIE CROTEAU (PRACTICE MANAGER)
(978) 681-4505
Entity
Organization
Contact information
Practice address
203 TURNPIKE ST, SUITE 115, NORTH ANDOVER, MA 01845-5042
(978) 681-4505
(978) 681-4507
Mailing address
203 TURNPIKE ST, SUITE 115, NORTH ANDOVER, MA 01845-5042
(978) 681-4505
(978) 681-4507
Taxonomy
Speciality
Code
Description
License number
State
261QB0400X
Birthing Clinic/Center
—
NULL
261QM2500X
Medical Specialty Clinic/Center
Primary
76941
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13002
HARVARDPILGRIM HEALTHCARE
MA
05
—
3110541
—
MA
01
—
730461
TUFTS HEALTH CARE
MA
05
—
9784802
—
MA
01
—
J13903
BLUESHIELD OF MASSACHUSETTS
MA
01
—
M17018
BLUESHIELD OF MASSACHUSETTS
MA
Enumeration date
05/08/2012
Last updated
05/08/2012
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